Individual
MRS. JODI JACENE WEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
265 RTE 46, STE 102, TOTOWA, NJ 07512-1820
(973) 628-1300
Mailing address
70 MICHAEL DR, WAYNE, NJ 07470-3464
(973) 694-3264
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QA00987200
NJ
Other
Enumeration date
04/04/2008
Last updated
08/12/2015
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